Organization
KETTERING PODIATRY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCING P MALUSKY DPM (OWNER/PRESIDENT)
(937) 293-6896
Entity
Organization
Contact information
Practice address
15 SOUTHMOOR CIR NE, KETTERING, OH 45429-2451
(937) 293-6896
(937) 293-9150
Mailing address
15 SOUTHMOOR CIR NE, KETTERING, OH 45429-2451
(937) 293-6896
(937) 293-9150
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2748683
—
OH
Enumeration date
07/15/2006
Last updated
11/13/2014
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